Clinical Reimbursement Appeals Analyst (Full Time)

Job Description

Use your clinical skills in a different way and join Genesis HealthCare as a Reimbursement Appeals Specialist. In this role, you will review patient medical records for clinical evidence and apply your regulatory compliance knowledge to prepare a written communication that justifies a denied claim be paid.


This is a remote postion and the individual can reside anywhere in the US. 


Genesis is one of the nations' leading providers of healthcare services from short-term to long-term care and a wide variety of living options and professional clinical services.


Position Highlights
Make a direct positive impact on Genesis financial goals by increasing revenues
Autonomous role where a variety of different skill sets are used to perform job duties; skills such as clinical, communication, problem solving, analytical, research, organizational
Seeks trends; claim denials trends and regulatory trends that may be in breach of published regulations or payer policy guidelines
Credible, visible role that represents Genesis at Administrative Law Judge hearings by providing testimony.


Why Genesis?
We provide career paths for our employees and develop them. We invest in YOU!
We are a strong, financially-stable company with industry longevity. Genesis was founded in 1985.
We are committed to operate with integrity.
We foster a work environment that feels like a family and have a culture of compassion. We Care Deeply!




Licensed Physical, Occupational or Speech Language Therapist (PT, OT, SLP); depending on nature of claim Significant experience in the healthcare industry Knowledge of regulatory requirements for reimbursement, Medicare billing practices and Explanation of Benefits is required. Proficiency in understanding CMS Requirements

Position Type: Full Time
Req ID: 346048
Center Name: Genesis HealthCare